Provider Demographics
NPI:1003327461
Name:MCCONAGHAY, JOSHUA DEAN (FNP)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:DEAN
Last Name:MCCONAGHAY
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 DONALD ROSS DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-2593
Mailing Address - Country:US
Mailing Address - Phone:191-250-3582
Mailing Address - Fax:919-250-3322
Practice Address - Street 1:101 DONALD ROSS DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-2593
Practice Address - Country:US
Practice Address - Phone:191-250-3582
Practice Address - Fax:919-250-3322
Is Sole Proprietor?:No
Enumeration Date:2017-10-12
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5009760363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5009760OtherSTATE LICENSE NUMBER